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Agency Name *
Your Name *
Your Phone *
Your Email Address *
Agency Mailing Address *
City *
Province *
Postal Code *

Please enter the number of staff in core member programs. If you do not have one of the following MPSSG-funded core member programs please enter 0.

Community-Based Victim Services (CBVS) *
Stopping The Violence Counselling (STVC) *
Stopping the Violence Outreach Services (STV ORS) *
Multicultural Outreach Services (MORS) *
Sexual Assault Services (SAS) *
Total Number of Core Member Program Staff:
0.00

EVA BC core membership fee structure:

TierTotal number of staff in EVA BC core member programsAnnual membership dues
11-3$150
24-9$400
310 or more$900

Please select the matching membership tier below to see your dues total:

Membership Tiers: *
Total Amount
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0.00

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